{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "EZRA EQUIPMENT LLC",
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"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"FirstLineMailingAddress": "4212 28TH ST APT 9H",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LONG ISLAND CITY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11101-5393",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "571-438-8688",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4212 28TH ST APT 9H",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LONG ISLAND CITY",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "571-438-8688",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/01/2026",
"LastUpdateDate": "09/01/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZIKE",
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"AuthorizedOfficialMiddleName": "GIRMA",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "571-438-8688",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}